Satanta District Hospital and Long-Term Care
Organization Active NPI Durable Medical Equipment & Medical Supplies · Satanta, KS
NPI 1215029913 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1215029913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- H041001 (KS)
- Legal business name
- SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
- Practice address
- 401 Cheyenne Street
Satanta, KS 67870-0159 - Phone
- (620) 649-2761
- Fax
- (620) 649-2776
- NPI assigned
- Sep 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SATANTA DISTRICT HOSPITAL AND LONG TERM CARE
Authorized official
- Name
- Tina Pendergraft
- Title
- Administrator
- Phone
- (620) 649-2761
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 5
Practitioners 12
-
Spencer Charles Anderson, PA-C
-
Timothy Daniel Barron, M.D.
-
Jonathan Allan Bigler, P.A.
-
Brian Joseph Jennings, M.D.
-
Peggy Ann Parker, APRN
-
Peter Phan, M.D.
-
Robyn Jennings, M.D.
-
Amy R Nightengale, ARNP BC
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Satanta District Hospital & Long Te |
Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Satanta District Hospital |
Hospital | Operational/Managerial Control | Dec 15, 1983 |
| Satanta District Hospital Clinic Satanta |
Rural health clinic | Operational/Managerial Control | Feb 10, 2015 |
| Satanta District Hospital Clinic-Sublette |
Rural health clinic | Operational/Managerial Control (100%) | Aug 23, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930018968 | KS | DME Supplier - Pharmacy |
5991616054 |
1 other NPI on this enrollment Practice locations: Satanta, KS |
National Provider Directory
- Tax ID family
- Satanta District Hospital
- Part of
- Satanta District Hospital
Locations
401 Cheyenne
Satanta, KS 67870
Phone (620) 649-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | H041001 | KS | Yes |
Addresses
Primary practice location
401 Cheyenne Street
Satanta, KS 67870-0159
Mailing address
PO Box 159
Satanta, KS 67870-0159
Phone (620) 649-2761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118051 | Other | KS | BLUE CROSS DME NUMBER |
| 6215711601 | Medicaid | KS | |
| 007599 | Other | KS | BLUE CROSS PHARMACY DME # |
| 100080490F | Medicaid | KS |
Other names
- Satanta District Hospital--DME
Other providers in Satanta, KS
- Janet K. Kado
- Kasey Jo Leverett
- Stephanie Ann Purcell
- Satanta Ambulance Service, Inc.
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
- Satanta District Hospital and Long-Term Care
All providers in Satanta, KS · Durable Medical Equipment & Medical Supplies in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.